All Health Plans

Continuation of Coverage Notice
National Preferred Formulary, Express Scripts (2024)
Qualified Medical Child Support Order (QMSCO) Guidelines and Procedures
Summary Annual Report, FYE June 30, 2023
Trust Agreement & Amendments 1 - 4

Plan Document

• Health Fund Plan Document, Effective December 1, 2020
  
• Health Plan Document Amendments 1 - 12
  

Machine Readable Files

BCBSIL Transparency in Coverage

Active Plan Only

Continuation of Coverage Options Brochure
Summary Plan Description – Actives
Summaries of Material Modification
Summary of Benefits and Coverage (SBC) - Active Plan (2024)
Summary of Benefits and Coverage (SBC) - Low Cost Plan (2024)

Retiree Plan Only

Summary Plan Description - Retirees
Summaries of Material Modification
Summary of Benefits and Coverage (SBC) - Retiree Non-Medicare Plan (2024)
Summary of Benefits and Coverage (SBC) - Retiree Rx Only Plan (2024)

Pension Fund

Plan Document

• Pension Fund Plan Document, Effective July 1, 2023
  
• Pension Plan Document Amendments 1 - 2

Annual Funding Notice - June 30, 2024
Benefit Claims Procedure
Qualified Domestic Relations Orders - Procedures
Summaries of Material Modification
Summary Plan Description
Trust Agreement & Amendments 1 - 5

Supplemental Retirement Fund

Plan Document

• Supplemental Retirement Fund Plan Document, Effective October 1, 2021
  
• SR Fund Plan Document Amendments 1 - 4
  

Enrollment Kit
Benefit Claims Procedures
Hardship - Withdrawal Guidelines
Hardship - Retiro por Dificultad - Documentos Requeridos
Qualified Domestic Relations Orders - Procedures
Rollover Options & Related Tax Information
Summary Annual Report, FYE September 30, 2022
Summaries of Material Modifications
Summary Plan Description
Summary Plan Description - Spanish
Trust Agreement & Amendments 1 - 4

Millmen Pension Fund (Legacy Documents)

Plan Document & Amendments (Millmen)
Summary Plan Description
Trust Agreement & Amendments (Millmen)